Magnetic resonance imaging validation of medial transthyroid ultrasound-guided stellate ganglion block: A pilot study

Objective Ultrasound-guided stellate ganglion block (usSGB) facilitates improved accuracy of needle position and application of lesser volumes of local anesthetic (LA). Approaches of usSGB, however, have not fully been optimized with respect to efficacy and technical convenience. This pilot study ex...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Chung, Boo Young (VerfasserIn) , Holfelder, Christian (VerfasserIn) , Feldmann, Robert Enrico (VerfasserIn) , Kleinböhl, Dieter (VerfasserIn) , Raum, Bernhard (VerfasserIn) , Benrath, Justus (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2022
In: Pain practice
Year: 2022, Jahrgang: 22, Heft: 3, Pages: 329-339
ISSN:1533-2500
DOI:10.1111/papr.13085
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1111/papr.13085
Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/papr.13085
Volltext
Verfasserangaben:Boo Young Chung, Christian Holfelder, Robert E. Feldmann Jr., Dieter Kleinboehl, Raoul C. Raum, Justus Benrath

MARC

LEADER 00000caa a2200000 c 4500
001 1867300931
003 DE-627
005 20240306111906.0
007 cr uuu---uuuuu
008 231023s2022 xx |||||o 00| ||eng c
024 7 |a 10.1111/papr.13085  |2 doi 
035 |a (DE-627)1867300931 
035 |a (DE-599)KXP1867300931 
035 |a (OCoLC)1425060712 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Chung, Boo Young  |d 1983-  |e VerfasserIn  |0 (DE-588)1172436339  |0 (DE-627)1041205767  |0 (DE-576)514622644  |4 aut 
245 1 0 |a Magnetic resonance imaging validation of medial transthyroid ultrasound-guided stellate ganglion block  |b A pilot study  |c Boo Young Chung, Christian Holfelder, Robert E. Feldmann Jr., Dieter Kleinboehl, Raoul C. Raum, Justus Benrath 
264 1 |c 2022 
300 |b Illustrationen 
300 |a 11 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a First published: 18 October 2021 
500 |a Gesehen am 23.10.2023 
520 |a Objective Ultrasound-guided stellate ganglion block (usSGB) facilitates improved accuracy of needle position and application of lesser volumes of local anesthetic (LA). Approaches of usSGB, however, have not fully been optimized with respect to efficacy and technical convenience. This pilot study examined the anatomical position and spatial distribution of a small volume of LA injectate dispensed by medial transthyroid usSGB via magnetic resonance imaging (MRI) and assessment of its effect on cervical sympathetic nerves. Methods Twelve healthy males were tested in a double-blinded within-subject design. In a total of 37 usSGB, 3 ml of LA and saline 0.9% solution were injected intramuscularly into the longus colli muscle (LCM) preventing uncontrollable spread of LA within cervical structures. Immediately after injection, distribution of injectate was traced by MRI. Twenty-four out of the 37 usSGB-injections with 3 ml ropivacaine 1% (verum) and saline 0.9% (placebo) were compared. Efficacy of usSGB was assessed by the appearance of oculosympathetic paresis and increases in skin temperature. Results All usSGBs were positioned in the proximity of the LCM muscle belly. Most of the axial injectate was distributed within the transversal plane between the middle section of C5 and the upper section of T1 vertebra. Signs of oculosympathetic paresis and skin temperature increase were found exclusively under verum conditions. Conclusion This pilot study demonstrated the feasibility of medial transthyroid usSGB using an out-of-plane technique and a volume of 3 ml of LA. Further studies are required to establish the relative value and safety of this technique compared to other published approaches. 
650 4 |a cervical sympathetic nerves 
650 4 |a medial approach 
650 4 |a MRI validation 
650 4 |a out-of-plane technique 
650 4 |a stellate ganglion block 
650 4 |a ultrasound-guided approach 
700 1 |a Holfelder, Christian  |d 1966-  |e VerfasserIn  |0 (DE-588)1306966922  |0 (DE-627)1867300613  |4 aut 
700 1 |a Feldmann, Robert Enrico  |d 1970-  |e VerfasserIn  |0 (DE-588)129555991  |0 (DE-627)47271578X  |0 (DE-576)297720554  |4 aut 
700 1 |a Kleinböhl, Dieter  |d 1960-  |e VerfasserIn  |0 (DE-588)1071876953  |0 (DE-627)826512119  |0 (DE-576)43339837X  |4 aut 
700 1 |a Raum, Bernhard  |d 1986-  |e VerfasserIn  |0 (DE-588)1257166026  |0 (DE-627)1801269165  |4 aut 
700 1 |a Benrath, Justus  |d 1968-  |e VerfasserIn  |0 (DE-588)115538771  |0 (DE-627)077315979  |0 (DE-576)289938392  |4 aut 
773 0 8 |i Enthalten in  |t Pain practice  |d Oxford [u.a.] : Wiley-Blackwell, 2001  |g 22(2022), 3, Seite 329-339  |h Online-Ressource  |w (DE-627)32897871X  |w (DE-600)2046672-9  |w (DE-576)094404569  |x 1533-2500  |7 nnas  |a Magnetic resonance imaging validation of medial transthyroid ultrasound-guided stellate ganglion block A pilot study 
773 1 8 |g volume:22  |g year:2022  |g number:3  |g pages:329-339  |g extent:11  |a Magnetic resonance imaging validation of medial transthyroid ultrasound-guided stellate ganglion block A pilot study 
856 4 0 |u https://doi.org/10.1111/papr.13085  |x Verlag  |x Resolving-System  |z kostenfrei  |3 Volltext 
856 4 0 |u https://onlinelibrary.wiley.com/doi/abs/10.1111/papr.13085  |x Verlag  |z kostenfrei  |3 Volltext 
951 |a AR 
992 |a 20231023 
993 |a Article 
994 |a 2022 
998 |g 115538771  |a Benrath, Justus  |m 115538771:Benrath, Justus  |d 60000  |d 60000  |d 61600  |e 60000PB115538771  |e 60000PB115538771  |e 61600PB115538771  |k 0/60000/  |k 0/60000/  |k 1/60000/61600/  |p 6  |y j 
998 |g 1257166026  |a Raum, Bernhard  |m 1257166026:Raum, Bernhard  |d 60000  |e 60000PR1257166026  |k 0/60000/  |p 5 
998 |g 1071876953  |a Kleinböhl, Dieter  |m 1071876953:Kleinböhl, Dieter  |d 60000  |e 60000PK1071876953  |k 0/60000/  |p 4 
998 |g 129555991  |a Feldmann, Robert Enrico  |m 129555991:Feldmann, Robert Enrico  |p 3 
998 |g 1306966922  |a Holfelder, Christian  |m 1306966922:Holfelder, Christian  |d 60000  |e 60000PH1306966922  |k 0/60000/  |p 2 
998 |g 1172436339  |a Chung, Boo Young  |m 1172436339:Chung, Boo Young  |d 60000  |e 60000PC1172436339  |k 0/60000/  |p 1  |x j 
999 |a KXP-PPN1867300931  |e 4395860028 
BIB |a Y 
SER |a journal 
JSO |a {"note":["First published: 18 October 2021","Gesehen am 23.10.2023"],"origin":[{"dateIssuedDisp":"2022","dateIssuedKey":"2022"}],"title":[{"title":"Magnetic resonance imaging validation of medial transthyroid ultrasound-guided stellate ganglion block","title_sort":"Magnetic resonance imaging validation of medial transthyroid ultrasound-guided stellate ganglion block","subtitle":"A pilot study"}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"relHost":[{"language":["eng"],"part":{"volume":"22","extent":"11","text":"22(2022), 3, Seite 329-339","issue":"3","year":"2022","pages":"329-339"},"origin":[{"publisherPlace":"Oxford [u.a.] ; Williston, VT ; Oxford [u.a.]","publisher":"Wiley-Blackwell ; Blackwell Science ; Blackwell","dateIssuedKey":"2001","dateIssuedDisp":"2001-"}],"pubHistory":["1.2001 -"],"title":[{"title":"Pain practice","title_sort":"Pain practice"}],"type":{"bibl":"periodical","media":"Online-Ressource"},"disp":"Magnetic resonance imaging validation of medial transthyroid ultrasound-guided stellate ganglion block A pilot studyPain practice","name":{"displayForm":["World Institute of Pain"]},"physDesc":[{"extent":"Online-Ressource"}],"recId":"32897871X","id":{"zdb":["2046672-9"],"issn":["1533-2500"],"doi":["10.1111/(ISSN)1533-2500"],"eki":["32897871X"]}}],"recId":"1867300931","name":{"displayForm":["Boo Young Chung, Christian Holfelder, Robert E. Feldmann Jr., Dieter Kleinboehl, Raoul C. Raum, Justus Benrath"]},"physDesc":[{"noteIll":"Illustrationen","extent":"11 S."}],"id":{"eki":["1867300931"],"doi":["10.1111/papr.13085"]},"person":[{"family":"Chung","display":"Chung, Boo Young","role":"aut","given":"Boo Young"},{"family":"Holfelder","display":"Holfelder, Christian","role":"aut","given":"Christian"},{"role":"aut","given":"Robert Enrico","family":"Feldmann","display":"Feldmann, Robert Enrico"},{"family":"Kleinböhl","display":"Kleinböhl, Dieter","role":"aut","given":"Dieter"},{"given":"Bernhard","role":"aut","display":"Raum, Bernhard","family":"Raum"},{"role":"aut","given":"Justus","display":"Benrath, Justus","family":"Benrath"}],"language":["eng"]} 
SRT |a CHUNGBOOYOMAGNETICRE2022